| Purpose: To explore the difference of the arousal rate of moxibustion on knee osteodystrophy with different flexion angles,so as to provide the scientific basis and reference for choosing the Right Angle to obtain the Maximal curative effect of heat-sensitive moxibustion on knee osteodystrophy.Method: The study included 120 patients with knee arthropathy who were enrolled in the acupuncture department,Orthopaedic Outpatient Department and Inpatient Department of the Jiangxi University of Traditional Chinese Medicine from March 2018 to December 2018 in the osteodystrophy.120 patients were selected for comparative analysis.The subjects were randomly divided into four groups(knee Flexion 0,knee flexion 45,knee flexion 90,knee flexion 135).Moxibustion program: Each Group of patients select the inner and Outer knee-eye points moxibustion,acupoint positioning according to the sixth edition of the National Unified Textbook "acupoint science" positioning.The time of moxibustion was 40 minutes,once a day for 14 days.The heatsensitive moxibustion sensation was recorded during moxibustion,and the manifestation of moxibustion sensation was recorded in patients with positive moxibustion sensation.Visual analogue scale(Vas)and Lysholm knee joint scale were used before and after the treatment.Results:1.There was no significant difference in age and sex between the four groups(p>0.05).2.The total frequency of heat-sensitive moxibustion stimulation in the four groups was significantly higher in the Flexion 90 degree group(11.70±1.90)than in the 45 degree group(10.43±2.21)(p<0.05),and significantly higher than in the 0 Degree Group(9.10±2.40)and the 135 degree group(9.47±2.43)(p<0.01).3.The frequency of heat expansion in Flexion 90 degree group(9.47±1.87)was significantly higher than that in 0 Degree Group(7.33±2.02)and 135 degree group(7.73±2.33)(p<0.01),and that in 45 degree group(8.63±2.54)was significantly higher than that in 0 Degree Group(p<0.05).In diathermy,flexion 90 degrees group(8.30±1.95)was higher than that of 45 degrees group(7.13 ± 2.23)(p<0.05),and was significantly higher than that of 0 Degrees Group(5.97±2.20),135 degrees group(6.63±2.39)(p<0.01),flexion 45 degrees group was higher than that of 0 degrees group(p<0.05).The heat transfer in the Flexion 90 degree group(7.23±2.11)was significantly higher than that in the 45 degree group(5.63±2.19),the 0 Degree Group(4.40±1.81),the 135 degree group(4.63±1.79)(p<0.01),and the Flexion 45 degree group was significantly higher than that in the 0 degree group(p<0.05).4.The Vas scores before treatment were 6.27±1.72?6.47±1.50?6.20±1.71?5.83±1.77,and after treatment were 4.37±2.04?3.40±1.43?2.43±1.55?3.67±1.83,respectively the intra-group comparison was significantly lower(p<0.01),in which flexion 90 degrees group(2.43±1.55)was significantly lower than that in 0 degrees group(4.37±2.04)and 135 degrees group(3.67±1.83)(p<0.01),and that in 45 degrees group was significantly lower than that in 0 degrees group(p<0.05).5.After treatment,the Lyshlom scores of the four groups were 75.07±14.95?79.33±12.65?84.03±11.10?78.77±12.10,respectively,which were significantly higher than those before treatment(70.33±15.75?69.10±12.63?71.30±14.21?72.97±13.02,respectively)(p<0.01)The Lyshlom score of the 90-degree group(84.03±11.10)was higher than that of the 0-degree group(75.07±14.95)(p<0.05).Conclusion:(1)Moxibustion at 90 degrees of flexion of knee joint is more likely to produce moxibustion sensation such as heat expansion,diathermy and heat transfer;(2)The effect of moxibustion on knee joint with flexion angle is better;(3)At 90 degrees of flexion of knee jointis more obvious in improving pain. |
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